Individual
PARISA SHAHNAVAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6233 W BEHREND DR, GLENDALE, AZ 85308-6970
(949) 228-5124
Mailing address
6233 W BEHREND DR, APT. 1038, GLENDALE, AZ 85308-6970
(949) 228-5124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009079
AZ
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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